Individual
CHARLOTTE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 339-1070
(215) 339-1080
Mailing address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
05/02/2017
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